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N® 224
OWNER
MAIN
BUILDING
AODRE68 „ r
7-
PHgNE
DATE
BUILDE
� /'? /P I,/ L
ADDRESS
1 s.
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ARCHI CT �
ADDRESS
A
WIDTH
JOB
STREET
NU B R
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USE
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LOT SIZE
LOT AREA
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LOT
BLOCK
YARDS
MAIN
BET BACK
SIDE YARD
REAR YARD
N[AREOT
ACCESSORY
BET BACK
SID[ YARD
REAR YARD
NEAREST
DISTANCE
BUILDING
EXISTING
BUILDING AREA--------
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BUILDING
BUILDING
BUILDING
PROPERTY LINES
�A
60. FT.
CLASS OF WORK
REMARKS: DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING I Notify Building Department by Street Address and Permit Number when ready for inspection. Work must not be
covered before inspection and OK for covering has been given by Inspector in w riting on Permit Placard.
I hereby acknowledge that I have read this application and state that the above is correct and I further agree
to comply with all City Ordinances, State Laws, and lawful orders of the Building Inspector governing building con-
struction.
Written Authorization of the owner must be pre- / �/
sented when work is done by occupant or lessor. OWNE W� - � , - 'u` G Y X
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
/ / Q6 d HOUSE& OTHER MISC.
HOUSES ,[..�,• G ARAGE $ G ARAGE S BUILDINGS S FEES S
RECEIVi D T �//
BOND NO.— TOTAL FEES >i ! p Y BY DATE [ f
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
MAIN
BUILDING
WIDTH
6- / /
DEPTH
FT. ^ FT.
AREA
__
Q BO. FT.
TYPE OF CONSTRUCTION
SIZE
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A
WIDTH
DEPTH
AREA
BU PING
X
_
�
FT. RT.
BO. FT.
J
X
80.
EXISTING
BUILDING AREA--------
=T-
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-
60. FT.
LOT COVERAGE
TOTAL AREA OCCUPIED
LOT AREA
LOT AREA OCCUPIED
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/ Q Q
- _
B0. FT. • / rC 7 D d 50. FT.
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/0
EXTERIOR
FINISH
OCCUPANCY
TO BE USED
HOW
�` S
BASEMENT
SIZE 6O.
FT.
AS
/ ��
HEATED
ROOMS
.�
TOTAL S
BED
ROOMS 3
BATH6
LIVING
L.D
COMBO
D!N
KITCHEN
NOOK
K•D
NOOK
ATT.
E
DET.
VALUATION OF
ALL IMPROVEMENTS
HOUSE S /h
v
GARAGES
HOUSE • ATT. GARAGE S
OTHER •
FOUNDATION OK
FRAMING OK
IFINAL INSPECTION
REMARKS: DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING I Notify Building Department by Street Address and Permit Number when ready for inspection. Work must not be
covered before inspection and OK for covering has been given by Inspector in w riting on Permit Placard.
I hereby acknowledge that I have read this application and state that the above is correct and I further agree
to comply with all City Ordinances, State Laws, and lawful orders of the Building Inspector governing building con-
struction.
Written Authorization of the owner must be pre- / �/
sented when work is done by occupant or lessor. OWNE W� - � , - 'u` G Y X
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
/ / Q6 d HOUSE& OTHER MISC.
HOUSES ,[..�,• G ARAGE $ G ARAGE S BUILDINGS S FEES S
RECEIVi D T �//
BOND NO.— TOTAL FEES >i ! p Y BY DATE [ f
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
seattle garden tracts
site plan
site plan whitespar homes
legal description
Department
--,(�' h ereby applies for
( print or type name in full)
permission to _ag Gr��s�� s .ry
(describe in full activities to be carried out)
(do not write on the back of this application if additional space
is required use additional application formsi
Applicant hereby agrees to carry out all activities described on this application in com-
pliance with all applicable City of Tukwila ordinances, state and federal laws; and to
allow inspections to be made by authorized inspectors.
4
address where activities are to be
carried out) (signature of applicant)
y/ S&. /s3 ,
(mailing address of applicant)
2
(date of application)
(2, y o �7 76